Iowa › Warren County › Norwalk
Regency Care Center
815 High Road, Norwalk, IA 50211
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Regency Care Center, in Norwalk, Iowa, is certified for 101 beds under for-profit, corporation ownership and belongs to the Campbell Street Services chain.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.
Inspectors recorded 40 health deficiencies across the three most recent survey cycles (21, 7, 12 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 39.6 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $78K.
Reported nurse staffing is 3.2 hours per resident per day (0.3 RN), close to the Iowa median of 3.7.
CMS flags that the facility carries the CMS abuse icon and changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Warren Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 40 | 40 | 16 | 28.7 |
| Citations per 100 beds | 39.6 | 39.6 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.2 | 3.7 | 3.9 |
| RN hours per resident day | 0.3 | 0.5 | 0.7 | 0.7 |
| Nursing staff turnover | — | 52.1% | 41.9% | 45.8% |
| Fines listed | $78,497 | $20,316 | $0 | — |
County and state figures are medians across facilities (6 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 May 2026, 16 Apr 2025.
Severity mix: J ×1 G ×2 D ×29 E ×8
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 4 Jun 2026 |
| 12 May 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 4 Jun 2026 |
| 12 May 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 4 Jun 2026 |
| 12 May 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 4 Jun 2026 |
| 12 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 4 Jun 2026 |
| 12 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 4 Jun 2026 |
| 12 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 4 Jun 2026 |
| 12 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 4 Jun 2026 |
| 12 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Jun 2026 |
| 12 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 4 Jun 2026 |
| 12 May 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 4 Jun 2026 |
| 12 May 2026 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 4 Jun 2026 |
| 12 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 4 Jun 2026 |
| 30 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 7 Jan 2026 |
| 30 Dec 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 7 Jan 2026 |
| 20 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 28 Aug 2025 |
| 20 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 29 Aug 2025 |
| 20 Aug 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 29 Aug 2025 |
| 20 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 29 Aug 2025 |
| 20 Aug 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Aug 2025 |
| 20 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 29 Aug 2025 |
| 16 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 29 Apr 2025 |
| 16 Apr 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Apr 2025 |
| 16 Apr 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Apr 2025 |
| 16 Apr 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 29 Apr 2025 |
| 17 Dec 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 7 Jan 2025 |
| 17 Dec 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 24 Dec 2024 |
| 17 Dec 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 7 Jan 2025 |
| 27 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 9 Jul 2024 |
| 27 Jun 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 9 Jul 2024 |
| 27 Jun 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 9 Jul 2024 |
| 9 Nov 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 28 Nov 2023 |
| 9 Nov 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 28 Nov 2023 |
| 9 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 28 Nov 2023 |
| 9 Nov 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 28 Nov 2023 |
| 9 Nov 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 28 Nov 2023 |
| 11 Oct 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 20 Oct 2023 |
| 11 Oct 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 20 Oct 2023 |
| 11 Oct 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 20 Oct 2023 |
| 8 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 24 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 20 Aug 2025 | Fine | $78,497 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.4% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Opco High Road Norwalk Ia Llc. Chain: Campbell Street Services (22 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Holdco, Ia 5, LLC | Direct ownership interest | NOT APPLICABLE | 11/03/2025 |
| Birchwood Healthcare Partners LLC | Indirect ownership interest | NOT APPLICABLE | 11/03/2025 |
| Birchwood Healthcare Partners LLC | Operational/managerial control | NOT APPLICABLE | 11/03/2025 |
| Campbell Street Services LLC | Operational/managerial control | NOT APPLICABLE | 11/03/2025 |
| Holdco, Ia 5, LLC | Operational/managerial control | NOT APPLICABLE | 11/03/2025 |
| Campbell Street Services LLC | Adp of the snf | NOT APPLICABLE | 11/05/2025 |
| Cyclone Holdco LLC | Adp of the snf | NOT APPLICABLE | 11/03/2025 |
| Holdco, Ia 5, LLC | Adp of the snf | NOT APPLICABLE | 01/29/2026 |
| Norwalk Property, LLC | Adp of the snf | NOT APPLICABLE | 11/03/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Warren County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| The Village | Indianola | 54 | 5 | 4 | 5 | 7 | 13.0 | — | 2 Dec 2025 |
| Westview of Indianola Care Center | Indianola | 71 | 5 | 5 | 4 | 0 | 0.0 | — | — |
| Norwalk Nursing and Rehabilitation Center | Norwalk | 45 | 3 | 4 | 1 | 7 | 15.6 | — | 31 Dec 2025 |
| Accura Healthcare of Carlisle | Carlisle | 80 | 1 | 1 | 3 | 46 | 57.5 | $37K | 21 May 2026 |
| Good Samaritan - Indianola | Indianola | 105 | 1 | 1 | 2 | 42 | 40.0 | $20K | 14 May 2026 |
All 6 facilities in Warren County
Questions and answers
How many deficiencies has Regency Care Center been cited for?
40 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Regency Care Center been fined?
Yes. CMS lists fines totalling $78K in the period covered.
How does staffing at Regency Care Center compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Regency Care Center?
It is part of the Campbell Street Services chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Holdco, Ia 5, LLC, Birchwood Healthcare Partners LLC and Birchwood Healthcare Partners LLC. Individual owners and managers are not listed on this site.
When was Regency Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 12 May 2026; the most recent standard health survey was 12 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.